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California rates for HCPCS V2113

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $65.28 / $80.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.94 / $135.94 / $135.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $84.44 / $100.41
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.92 / $190.36 / $278.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $37.40 / $82.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $67.77 / $94.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $180.10 / $397.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.71 / $474.71 / $734.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.29 / $75.30 / $87.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $88.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.13 / $142.13 / $142.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $37.57 / $97.98